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Individual

MISS JEAN R KNEPSHIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
(317) 787-5364
Mailing address
8614 SIERRA RIDGE DR APT A, INDIANAPOLIS, IN 46239-8529

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000606A
IN

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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